TY - JOUR
T1 - Computer-assisted robotic Heller myotomy
T2 - Initial case report
AU - Melvin, W. Scott
AU - Needleman, Bradley J.
AU - Krause, Kevin R.
AU - Wolf, Randall K.
AU - Michler, Robert E.
AU - Ellison, E. Christoper
PY - 2001/8/1
Y1 - 2001/8/1
N2 - Purpose: Our objective was to determine the efficacy of computer-assisted robotic laparoscopic Heller myotomy. Methods: A 76-year-old woman with a significant history of achalasia was evaluated for laparoscopic Heller myotomy. The da Vinci™ surgical system was used throughout the procedure. Results: Computer assistance allowed scaling of hand motions from a range of 2:1 to 5:1. Successful dissection of the esophageal musculature was accomplished, and a Toupet-type fundoplication was performed. The patient was discharged from the hospital the day after surgery with five port incisions, each <1 cm. Conclusions: Telemanipulator computer-assisted surgical devices may have applications in procedures that require advanced and finely tuned motions, such as Heller myotomy. The benefits of extra magnification and three-dimensional imaging can help prevent esophageal perforation and identify residual circular muscle fibers.
AB - Purpose: Our objective was to determine the efficacy of computer-assisted robotic laparoscopic Heller myotomy. Methods: A 76-year-old woman with a significant history of achalasia was evaluated for laparoscopic Heller myotomy. The da Vinci™ surgical system was used throughout the procedure. Results: Computer assistance allowed scaling of hand motions from a range of 2:1 to 5:1. Successful dissection of the esophageal musculature was accomplished, and a Toupet-type fundoplication was performed. The patient was discharged from the hospital the day after surgery with five port incisions, each <1 cm. Conclusions: Telemanipulator computer-assisted surgical devices may have applications in procedures that require advanced and finely tuned motions, such as Heller myotomy. The benefits of extra magnification and three-dimensional imaging can help prevent esophageal perforation and identify residual circular muscle fibers.
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U2 - 10.1089/109264201750539790
DO - 10.1089/109264201750539790
M3 - Article
C2 - 11569517
AN - SCOPUS:0034828872
SN - 1092-6429
VL - 11
SP - 251
EP - 253
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
IS - 4
ER -